| NPI | 1063529576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABRAHAM LOUIS SHAHEEN President 315-735-4447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NY 038343) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2020-08-22 |